Living Practice Guidelines Require Robust and Continuous Iteration and Uptake
Authors: Tianjing Li, Maria Michaels
Journal: Annals of Internal Medicine (2022)

EditorialsAugust 2022Living Practice Guidelines Require Robust and Continuous Iteration and UptakeTianjing Li, MD, MHS, PhD and Maria Michaels, MBA, PMPTianjing Li, MD, MHS, PhDDepartment of Ophthalmology, School of Medicine, Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado and Maria Michaels, MBA, PMPOffice of the Director, Center for Surveillance, Epidemiology, and Laboratory Services, Public Health Informatics Office, Centers for Disease Control and Prevention, Atlanta, GeorgiaAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-1813 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Rigorously developed, disseminated, and implemented practice guidelines promote health, prevent harm, encourage best practice, and reduce practice variation. Incorporation of the latest, relevant research evidence as soon as it is available can bolster guideline quality. Although the concept for accumulating evidence for guiding practice has existed for decades, the COVID-19 pandemic has shown that living guidelines are not only desirable but also possible, even during a time characterized by an explosion of research (1, 2).In their article, El Mikati and colleagues (3) present a framework for developing living practice guidelines in health care. The framework includes 4 integrated steps—planning, ...References1. Qaseem A, Yost J, Forciea MA, et al; Scientific Medical Policy Committee of the American College of Physicians. The development of living, rapid practice points: summary of methods from the Scientific Medical Policy Committee of the American College of Physicians. Ann Intern Med. 2021;174:1126-1132. [PMID: 34029483] doi:10.7326/M20-7641 LinkGoogle Scholar2. Australian National COVID-19 Clinical Evidence Task Force. Caring for people with COVID-19. Accessed at https://covid19evidence.net.au/ on 4 June 2022. Google Scholar3. El Mikati IK, Khabsa J, Harb T, et al. A framework for the development of living practice guidelines in health care. Ann Intern Med. 2022;175:1154-60. doi:10.7326/M22-0514 LinkGoogle Scholar4. Centers for Disease Control and Prevention. Adapting Clinical Guidelines for the Digital Age. Accessed at www.cdc.gov/csels/phio/clinical-guidelines/index.html on 4 June 2022. Google Scholar5. FHIR Clinical Guidelines. Accessed at http://hl7.org/fhir/uv/cpg/ on 4 June 2022. Google Scholar6. COVID-19 Severity Classification. Accessed at http://hl7.org/fhir/uv/cpg/methodology-case-study.html on 4 June 2022. Google Scholar7. Agency for Healthcare Research and Quality. Clinical Decision Support (CDS) Connect program. Accessed at https://cds.ahrq.gov/ on 4 June 2022. Google Scholar8. Prowd L, Leach D, Lynn H, et al. An interdisciplinary approach to implementing a best practice guideline in public health. Health Promot Pract. 2018;19:645-653. [PMID: 29216440] doi:10.1177/1524839917739616 CrossrefMedlineGoogle Scholar9. Elliott JH, Jeppesen BT. Rapid and living guidance for COVID-19 [Editorial]. Ann Intern Med. 2021;174:1171-1172. [PMID: 34029486] doi:10.7326/M21-2245 LinkGoogle Scholar10. Chen Y, Guyatt GH, Munn Z, et al. Clinical practice guidelines registry: toward reducing duplication, improving collaboration, and increasing transparency [Editorial]. Ann Intern Med. 2021;174:705-707. [PMID: 33721516] doi:10.7326/M20-7884 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Department of Ophthalmology, School of Medicine, Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, ColoradoOffice of the Director, Center for Surveillance, Epidemiology, and Laboratory Services, Public Health Informatics Office, Centers for Disease Control and Prevention, Atlanta, GeorgiaDisclaimer: The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-1813.Corresponding Author: Tianjing Li, MD, MHS, PhD, Department of Ophthalmology, School of Medicine, Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 1675 Aurora Court, F731, Aurora, CO 80045; e-mail, tianjing.[email protected]edu.This article was published at Annals.org on 5 July 2022. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoA Framework for the Development of Living Practice Guidelines in Health Care Ibrahim K. El Mikati , Joanne Khabsa , Tarek Harb , Mohamed Khamis , Arnav Agarwal , Hector Pardo-Hernandez , Sarah Farran , Assem M. Khamis , Ola El Zein , Rayane El-Khoury , Holger J. Schünemann , Elie A. Akl , and Metrics August 2022Volume 175, Issue 8Page: 1193-1194KeywordsEvidence based medicineSystematic reviews ePublished: 5 July 2022 Issue Published: August 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...